Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Improving PTSD treatment for veterans with serious mental illness

Official title: PTSD Treatment for Veterans With Serious Mental Illness to Improve Functional Outcomes

Run by VA Office of Research and Development · NCT05674617 · Data updated 2026-11-12

This study is testing if a new therapy called Written Exposure Therapy can help veterans with PTSD and serious mental illness feel better, especially focusing on the experiences of Black, Indigenous, and other people of color.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment48 (estimated)
SponsorVA Office of Research and Development
Federal
Locations1 site (Baltimore, Maryland)
StatusRecruiting
StartedDecember 1, 2023
Main results expectedMarch 31, 2027
Study endsMarch 31, 2028
Registry record updatedMay 6, 2026
Trial IDNCT05674617 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are veterans diagnosed with PTSD and serious mental illness who are enrolled in outpatient mental health services.

Probably not a fit

Patients currently engaged in trauma-focused evidence-based practices for PTSD or with moderate-to-severe substance use issues may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to evaluate the feasibility and acceptability of Written Exposure Therapy (WET) for veterans suffering from PTSD and serious mental illness (SMI). It addresses the significant gaps in research regarding effective PTSD treatments for this population, particularly among Black, Indigenous, and other people of color (BIPOC). The study will involve administering culturally responsive assessments and conducting qualitative interviews to gather insights on participants' experiences. A small randomized controlled trial will follow to assess the implementation of WET and its impact on clinical outcomes.

Why it matters

Potential benefit: If successful, this study could lead to improved mental health outcomes for veterans with PTSD and serious mental illness.

How similar studies have gone: While there is limited research specifically on WET for veterans with SMI, other studies have shown promise in using culturally responsive approaches for PTSD treatment.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* enrolled in outpatient mental health services within the VAMHCS (including general outpatient Mental Health Clinic (MHC), Psychosocial Rehabilitation and Recovery Centers (PRRCs), Mental Health Intensive Case Management (MHICM), and PTSD Clinical Teams (PCTs))
* diagnosis of PTSD as confirmed by assessment with the Clinician-administered PTSD Scale for DSM-5 (CAPS-5) past month version
* SMI diagnosis as defined by VHA Directive 1160 (i.e., psychotic spectrum or bipolar disorders) as confirmed by the medical record
* regular telephone access

Exclusion Criteria:

* are engaging in moderate-to-severe substance use that would impact their ability to participate and/or would require a higher level of care
* already engaged in trauma-focused EBP for PTSD (e.g., WET, CPT, PE, or EMDR) or completed an EBP for PTSD within the past 6 months

Where it's running

  • Baltimore VA Medical Center VA Maryland Health Care System, Baltimore, MD
    Baltimore, Maryland, United States
    Recruiting

Study contacts

  • Principal investigator: Mary K Howell, PhD — Baltimore VA Medical Center VA Maryland Health Care System, Baltimore, MD
  • Study coordinator: Mary K Howell, PhD
  • Email: Mary.Howell@va.gov
  • Phone: (410) 605-7000

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.